Is nervus femoralis radiofrequency ablation an effective treatment for recalcitrant greater trochanteric pain syndrome? Results of a cross-sectional study - Summary - MDSpire

Is nervus femoralis radiofrequency ablation an effective treatment for recalcitrant greater trochanteric pain syndrome? Results of a cross-sectional study

  • By

  • Kristen Saad

  • Chase Young

  • Amanda N Cooper

  • Blake Dickenson

  • Richard Kendall

  • Allison Glinka Przybysz

  • Taylor Burnham

  • Zachary L McCormick

  • Aaron Conger

  • November 7, 2025

  • 0 min

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Objective:

To describe long-term treatment outcomes of nervus femoralis radiofrequency ablation (NF-RFA) for recalcitrant greater trochanteric pain syndrome (GTPS), focusing on the primary outcome of ≥50% NPRS score reduction.

Key Findings:
  • 55.6% of patients reported ≥50% NPRS reduction from baseline (95% CI: 37.3-72.4).
  • 70.4% reported ≥2-point NPRS score reduction from baseline (95% CI: 51.5-84.2).
  • 51.9% reported PGIC scores indicating 'much improved' or 'very much improved' (95% CI: 34.0-69.3).
  • Average follow-up time was 13.1 months.
  • Approximately 25% reported ongoing pain or return of symptoms post-procedure.
Interpretation:

Over half of the patients experienced significant pain relief from NF-RFA, indicating its potential as an effective treatment for refractory GTPS, which may influence future treatment protocols.

Limitations:
  • Small sample size of 25 patients limits generalizability.
  • Retrospective nature of the study may introduce bias.
  • Follow-up duration varied among patients, potentially affecting outcome consistency.
Conclusion:

NF-RFA appears to be a promising intervention for patients with persistent GTPS, with a majority reporting substantial pain relief and improvement in quality of life, warranting further research to validate these findings.

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